Prevalence of developmental odontogenic cysts in children and adolescents with emphasis on dentigerous cyst and odontogenic keratocyst (keratocystic odontogenic tumor)

Li, Nannan; Gao, Xing; Xu, Ziyuan; Chen, Zhuo; Zhu, Lixia; Wang, Jinrui; Liu, Wei

doi:10.3109/00016357.2014.913192

Cited by 17 publications

(12 citation statements)

References 18 publications

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“…As formas de tratamento indicadas para os cistos são, basicamente, a enucleação (remoção total da lesão cística) e a descompressão (qualquer técnica que alivie a pressão dentro do cisto) 1,7,8 . Embora estas modalidades de tratamento possam ser utilizadas isoladamente, o tratamento mais adequado para grandes cistos é a associação de ambos os métodos, principalmente quando se deseja minimizar danos a estruturas importantes 8,13 .…”

Section: Discussionunclassified

“…Quando se deseja preservar os dentes, é imperativo que durante o procedimento cirúrgico se remova todo o epitélio do cisto sem, no entanto, remover os capuzes pericoronários e sem deslocar os elementos, para não causar traumas adicionais nem comprometimento ao aporte vascular 15 . Esta abordagem mais conservadora só é possível porque os cistos inflamatórios e o dentígero tem natureza benigna e baixas taxas de recidiva 7,8,15 . Neste contexto é imperativo saber qual a variante do cisto odontogênico está sendo tratada, pois algumas entidades, como o…”

Section: Discussionunclassified

“…Quando nos maxilares, os cistos são mais encontrados em pacientes entre 10 e 30 anos, mas podem acometer indivíduos na primeira década de vida e assim envolver múltiplos germes dentários. As entidades mais relacionadas a esse fenômeno são o Cisto Dentígero e, principalmente, o Cisto Periapical 7,8,9 .…”

Section: Introductionunclassified

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Estratégia de aproveitamento de dentes envolvidos por cistos em pacientes pediátricos

Suassuna¹,

Wanderley²,

Alves³

et al. 2019

Rev. Iniciaç. Cient. Odontol.

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Cisto é uma cavidade patológica preenchida por líquido ou material semisólido e revestida por epitélio. Cistos ósseos revestidos por epitélio são quase exclusividade dos ossos gnáticos e são relativamente comuns na rotina odontológica. Esta patologia tende a aumentar lentamente de tamanho, possivelmente em resposta ao aumento da pressão osmótica luminal. Os Cistos Odontogênicos são mais encontrados em pacientes entre 10 e 30 anos, mas podem acometer indivíduos na primeira década de vida e envolver múltiplos elementos dentários ainda em formação. Relato de caso: Dois pacientes pediátricos com história de trauma e necrose pulpar não diagnosticada a tempo, em incisivo central decíduo. Apresentaram retardo na erupção dos elementos permanentes adjacentes e retenção prolongada do incisivo necrosado. Radiograficamente era vista herniação dos elementos permanentes em formação. Ambos os casos foram tratados através de biopsia incisional, descompressão por 6 meses, enucleação conservadora e tratamento ortodôntico. Conclusão: Os cistos inflamatórios podem ser removidos de forma menos agressiva, mantendo intactos os elementos dentários envolvidos, desde que estes apresentem viabilidade.

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Section: Discussionunclassified

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Estratégia de aproveitamento de dentes envolvidos por cistos em pacientes pediátricos

Suassuna¹,

Wanderley²,

Alves³

et al. 2019

Rev. Iniciaç. Cient. Odontol.

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“…However, this cyst may be associated with Nevoid Basal Cell Carcinoma Syndrome (NBCCS), or Gorlin-Goltz Syndrome, which is a rare autosomal dominant syndrome characterized primarily by multiple/recurrent OKC (present in at least 75% of patients), basal cell carcinomas and other clinical findings which usually appear during puberty or even during the first decade of life (5,9,10). The incidence of OKC is uncommon in patients from zero to 14 years, and few studies in literature have reported cases in non-syndromic children (11)(12)(13)(14)(15)(16). Based on that, the aim of this retrospective study was to review cases of OKC in children that attended an oral diagnostic center in Brazilian Northeast between 1986 and 2017 and to evaluate the presentation, radiological findings, and outcomes.…”

Section: Introductionmentioning

confidence: 99%

The recurrence of odontogenic keratocysts in pediatric patients is associated with clinical findings of Gorlin-Goltz Syndrome

Silva¹,

Rolim²,

Silva³

et al. 2020

Med Oral

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Background: Odontogenic keratocyst (OKC) is an odontogenic developmental cyst that presents distinct clinical behavior. This lesion has been described as dental cysts with keratinization since the 1930s, however the term "OKC" was established in 1956. This study aims to determine the frequency and features of OKC in children aged 0 to 14 years in an oral pathology service in Brazil. Material and Methods: A retrospective study was performed to review cases of OKC in children diagnosed between 1986 and 2017. Clinical data were evaluated from medical records (gender, race, age, anatomical location, treatment, radiographic findings and follow-up). Results: Ninety-seven cases of OKC were diagnosed in a 31-year-period in all age groups and 10 were found in children (10.3%). Age ranged from 2 to 14 years (mean age=10.5±3.5), with 8 males and 2 females. The most frequent location was the anterior region of the mandible (n=4). Patients were predominantly asymptomatic. Moreover, in two children, clinical findings of Gorlin-Goltz Syndrome were observed. The most commonly used treatment was enucleation followed by curettage. In all cases of Gorlin-Goltz Syndrome were observed recurrences and occurrence of new keratocysts. Conclusion: Although uncommon in pediatric patients, OKC should be considered a differential diagnosis in cases of osteolytic lesions in gnathic bones. Thus, the periodic assessment of children by dentists and pediatricians is essential to get a correct diagnosis and early treatment to avoid greater mutilation of these patients.

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“…1,2 Most lesions are benign however, due to its high proliferation and recurrence rates as well as an aggressive behaviour, and considering that they may reach large dimensions and have a propensity for anterior and posterior growth oft en without clinical symptoms since clinically there is minor evident buccolingual expansion of the cortices, they are long covert and typically discovered during incidental x-ray examination. [2][3][4] The constantly rising incidence of orofacial tumours compel us to implement treatment modalities increasingly invasive and damaging since tumour lesions of the oral cavity are mostly surgically treated to properly eliminate and prevent further recurrences. In some malignant tumours, a more aggressive approach is elected resorting to ablative surgery in conjunction with radiotherapy and adjuvant chemotherapy, for localized and distant metastasis treatment.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation after partial mandibulectomy - Clinical Report

Zenha¹,

Carvalho²

2019

JSPIR

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Purposes: The rehabilitation of oral function impairments secondary to acquired defects following segmental mandibulectomy continues to be a major challenge. The success in rehabilitating patients who had undergone tumour resection depends upon the nature and extent of the surgical defect, treatment plan, type of prothesis and patient co-operation. Removable dentures supported by remaining teeth and/or gum are often unstable and rarely satisfactory. However, given the recent advances in maxillofacial prosthetics and reconstructive surgery, it is possible to restore most individuals to nearly normal anatomy and function with immediate vascularized bone graft reconstruction followed by rehabilitation with removable or fixed implant-supported prosthesis. Case report: This case report emphasises the truly multidisciplinary approach, as it describes the prosthodontic rehabilitation of a patient with history of a segmental mandibulectomy that involved the use of a vascularized bone graft, to reconstruct the mandible, and an implant-supported fixed partial denture to restore oral function. Conclusions: Prosthetic rehabilitation with dental implants and fixed implant-supported prosthesis is a valid tool advocated by several authors as they provide stability with enhanced masticatory efficiency as well as aesthetics, hence providing the best dental rehabilitation with a stabilized or immobilized prothesis.

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Prevalence of developmental odontogenic cysts in children and adolescents with emphasis on dentigerous cyst and odontogenic keratocyst (keratocystic odontogenic tumor)

Cited by 17 publications

References 18 publications

Estratégia de aproveitamento de dentes envolvidos por cistos em pacientes pediátricos

Estratégia de aproveitamento de dentes envolvidos por cistos em pacientes pediátricos

The recurrence of odontogenic keratocysts in pediatric patients is associated with clinical findings of Gorlin-Goltz Syndrome

Rehabilitation after partial mandibulectomy - Clinical Report

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